Provider Demographics
NPI:1720141468
Name:KESZLER, CHRISTINA MAE (DC)
Entity Type:Individual
Prefix:DR
First Name:CHRISTINA
Middle Name:MAE
Last Name:KESZLER
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2512 E THOMAS RD STE 9
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85016-7937
Mailing Address - Country:US
Mailing Address - Phone:425-949-9303
Mailing Address - Fax:
Practice Address - Street 1:2512 E THOMAS RD STE 9
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85016
Practice Address - Country:US
Practice Address - Phone:425-949-9303
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-17
Last Update Date:2018-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA06462111N00000X
AZ7387111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZP00177087OtherRAILROAD MED
AZP00177087OtherRAILROAD MED
AZZ77672Medicare PIN